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Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
L11 WWPA Form 8B — Certificate of Compliance
242-140
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40Provided by DEP
A. Project Information
Important:
When filling out 1. This Certificate of Compliance is issued to:
forms on the
computer, use Ronald A Smith and Joanne E. Smith, Trustees
only the tab key Name
to move your 43 Vest Way
cursor-do not —
use the return Mailing Address
key. North Andover MA 01845
Clty/Town State Zip Code
Q 2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions or Order of Resource Area Delineation issued to:
ET AL Realty
Name
January 6 1982 242-140
Dated DEP File Number
3. The project site is located at:
43 Vest Way North Andover
Street Address City/Town
104E 164
.... -.-- ......... ...._._
Assessors Map/Plat Number Parcel/Lot Number
The final Order of Conditions or Order of Resource Area Delineation was recorded at
the Registry of Deeds for:
ET AL Realty
Property Owner(if different)
Essex North 1588 267
County Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
7/23118
Date
i
wpafrm8b.doc•rev.8117117 WPA Form 811,Certificate of Compliance•Page 1 of 3
Massachusetts Department of Environmental Protection
�]U[B8U0fResource Protection ' Wetlands DEP File Number:
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- - - ' - - --- Certificate-- —' Compliance— 242-140
Massachusetts Wetlands P[0feC[k>O /\Ct M.G.L. c. 131' §40 PmvmuuuyDEP
B. Certification
Check all that apply:
Complete Certification: It is hereby certified that the work regulated by the
above-referenced Order ofConditions has been satisfactorily completed.
Partial Certification: |tishereby certified that only the following portions ofwork
regulated by the above-referenced Order of Conditions have been satisfactorily
completed.The project oreaaorvvorksubieottothiepadia|certifioation(hatMavo
been completed and are released from this Order are: �
43 Vest VV
Invalid Order of Conditions: It is hereby certified that the work regulated by the
above-referenced Order ofConditions never commenced. The Order of
Conditions has lapsed and is therefore no longer valid, No future work subject to
regulation under the Wetlands Protection Act may commence without filing a new
Notice ofIntent and receiving anew Order ofConditions.
El Ongoing Conditions: The following conditions ofthe Order shall continue:
(Include any conditions contained in the Final Order, such as maintenance or
monitoring, that should continue for alonger period).
Condition Numbers:
El order mfResource Area Delineation: |t |mhereby certified that the wetland
resource area delineation for the above-referenced Order of Conditions has been
satisfactorily completed
C. Authorization
Issued by:
Conservation Commission Date ofIssuance
This Certificate must besigned bvamajority nftheConmgrvodionCommismionanda
copy sent tothe applicant and appropriate DEP Regional Office (See
~v°mmo^.*""^rev,w1n1r vPxForm uo.Certificate*Compliance'Page zmo
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B -- Certificate of Compliance 242-140
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
i
D. Recording Confirmation
The applicant is responsible for ensuring that this Certificate of Compliance is recorded in 1
the Registry of Deeds or the Land Court for the district in which the land is located.
Detach on dotted line and submit to the Conservation Commission.
To: ------------------ .-. . .-.-----------------------------------------------------------------------
Conservation Commission
Please be advised that the Certificate of Compliance for the project at:
Project Location _...___.-DEP File Number
Has been recorded at the Registry of Deeds of:
County
for:
Property Owner
and has been noted in the chain of title of the affected property on:
Date Book Page
If recorded land, the instrument number which identifies this transaction is:
If registered land, the document number which identifies this transaction is:
Document Number WW
Signature of Applicant
wpafrm8b.doc-rev.8117!17 WPA Form 8B,Certificate of Compliance•Page 3 of 3